Progressive muscular atrophy (PMA)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Progressive muscular atrophy (PMA). Males are more frequently affected. Fully referenced neurology checklist.

Demographic features

  • Males are more frequently affected
  • The onset age is older than in amyotrophic lateral sclerosis (ALS)
  • About a fifth of patients develop upper motor neurone signs within 5 years

Genetic risk factors

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Pathology

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Clinical features

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Differential diagnosis

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References

  1. Kim W-K, Liu J, Sandner J, et al. Study of 962 patients indicates progressive muscular atrophy is a form of ALS. Neurology2009; 73:1686-1692.
  2. Cervenakova L, Protas II, Hirano A, et al. Progressive muscular atrophy variant of familial amyotrophic lateral sclerosis (PMA/ALS). J Neurol Sci 2000; 177:124-130.
  3. Pereira Â, Tkachenko N, Fortuna AM, Alonso I, Cardoso M, Da Silva JD. An SPG7 mutation as a novel cause of monogenic progressive muscular atrophy. Neurol Sci 2023 (Online ahead of print).
  4. Riku Y, Atsuta N, Yoshida M, et al. Differential motor neuron involvement in progressive muscular atrophy: a comparative study with amyotrophic lateral sclerosis. BMJ Open 2014; 4:e005213.
  5. Ince PG, Evans J, Knopp M, et al. Corticospinal tract degeneration in the progressive muscular atrophy variant of ALS. Neurology 2003; 60:1252-1258.
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